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DEPARTMENT OF INSURANCE
Affiliations
Name
Simon, Jackson Waller
DOIID
1061886
NAIC NPN
19324124
License - Line of Authority Information
Status
Residency
Class
Line of Authority
Active Date
Inactive Date
License Expiration Date
Active
Resident
Agent
Health
12/20/2024
10/31/2026
Active
Resident
Agent
Life
12/20/2024
10/31/2026
Active
Resident
Agent
Variable Life and Variable Annuities
12/20/2024
10/31/2026
* If a status Is
Pending, Pending Replacement
,Or the record displays
Affidavit On File
, click On them For more details.
Notice:
The Department verifies, at the time of application for a Variable Life and Variable Annuity line of authority, that an agent is registered with the Financial Industry Regulatory Authority (FINRA) and the applicant has passed the Series 6 or greater exam. The Department does not verify registration with FINRA after the agent is qualified by the Department to receive the Variable Life and Variable Annuity line of authority. If you have questions about a broker’s FINRA registration status, you should check this status directly with FINRA.
Appointments with the following Insurers
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
American General Life Insurance Company
301585
Agent - Life
8/14/2024
11/1/2024
Active
Athene Annuity and Life Company
301893
Agent - Life
2/19/2025
Inactive
Fidelity & Guaranty Life Insurance Company
301359
Agent - Life
7/22/2024
11/1/2024
Inactive
Forethought Life Insurance Company
301407
Agent - Life
7/7/2022
11/1/2024
Inactive
Forethought Life Insurance Company
301407
Agent - Variable Life and Variable Annuities
7/7/2022
11/1/2024
Inactive
Integrity Life Insurance Company
301687
Agent - Life
1/22/2024
11/1/2024
Inactive
Integrity Life Insurance Company
301687
Agent - Variable Life and Variable Annuities
1/22/2024
11/1/2024
Inactive
Jackson National Life Insurance Company
300486
Agent - Life
8/2/2022
8/17/2023
Inactive
Jackson National Life Insurance Company
300486
Agent - Variable Life and Variable Annuities
8/2/2022
8/17/2023
Inactive
Nationwide Life Insurance Company
300495
Agent - Life
2/24/2022
9/18/2023
Inactive
Nationwide Life Insurance Company
300495
Agent - Variable Life and Variable Annuities
2/24/2022
9/18/2023
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Life
9/13/2022
9/18/2023
Inactive
Nationwide Life and Annuity Insurance Company
300714
Agent - Variable Life and Variable Annuities
9/13/2022
9/18/2023
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Life
12/16/2022
8/16/2023
Inactive
New York Life Insurance and Annuity Corporation
300726
Agent - Variable Life and Variable Annuities
12/16/2022
8/16/2023
Inactive
Oceanview Life and Annuity Company
301868
Agent - Life
12/24/2023
11/1/2024
Active
Pacific Life Insurance Company
301848
Agent - Life
12/31/2024
Active
Pacific Life Insurance Company
301848
Agent - Variable Life and Variable Annuities
12/31/2024
Inactive
Principal National Life Insurance Company
301926
Agent - Life
3/6/2023
11/1/2024
Inactive
Pruco Life Insurance Company
300954
Agent - Life
5/9/2024
11/1/2024
Inactive
Pruco Life Insurance Company
300954
Agent - Variable Life and Variable Annuities
5/9/2024
11/1/2024
Inactive
S.USA Life Insurance Company, Inc.
301774
Agent - Life
7/25/2024
11/1/2024
Inactive
Standard Insurance Company
300185
Agent - Health
9/16/2024
11/1/2024
Inactive
Standard Insurance Company
300185
Agent - Life
9/16/2024
11/1/2024
Inactive
Symetra Life Insurance Company
301691
Agent - Life
2/21/2023
8/18/2023
Inactive
Symetra Life Insurance Company
301691
Agent - Variable Life and Variable Annuities
2/21/2023
8/18/2023
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Life
12/6/2022
11/30/2024
Inactive
Talcott Resolution Life Insurance Company
301759
Agent - Variable Life and Variable Annuities
12/6/2022
11/30/2024
Inactive
United Life Insurance Company
664766
Agent - Life
1/15/2024
11/1/2024
Inactive
Western-Southern Life Assurance Company
301590
Agent - Life
1/22/2024
11/1/2024
Designated to act on behalf of the following Business Entities
Status
Affiliation Name
DOI Number
Line of Authority
Active Date
Inactive Date
Inactive
Fifth Third Insurance Agency Inc
399341
Agent - Life
12/5/2023
11/1/2024
Inactive
Fifth Third Insurance Agency Inc
399341
Agent - Variable Life and Variable Annuities
12/5/2023
11/1/2024
Inactive
Morgan Stanley Insurance Services Inc
644934
Agent - Life
11/30/2022
8/17/2023
Inactive
Morgan Stanley Insurance Services Inc
644934
Agent - Variable Life and Variable Annuities
11/30/2022
8/17/2023
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